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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />***Goals should be calculated based on the Base Bid only.*** <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving WBE participation. It is <br />the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: <br />Bidder: <br />123-063 Project Name: Cleveland Road at Portage Road Traffic Signal Improvements <br />Name & Address of WBE <br />Core Bore Indiana LLC <br />20061 Dice St <br />South Bend, IN 46614 <br />V&R Trucking Inc <br />1845 N Elmer -Street <br />South Bend, IN 46628 <br />Michiana Contracting Inc Total Bid Amount: 331,920.00 <br />Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space) <br />Cami Bowling Conduit, Foundations <br />269-262-2906 <br />Veda Godette Trucking <br />574-234-1268 <br />iz�jtA?',t-MAi.:ma Contracting Inc <br />PriRY Name jianature Sc Kirkpatrick, President <br />SEAL <br />***Goals should be calculated based on the Base Bid only.*** <br />/n d i a"%�,.��� <br />Version 5f' [Ulm�vContractor's Bid for Public Works - 10 <br />WBE Goal.- 4.58% <br />Page 1 <br />Dollar Amount of WBE Percentage <br />Component of Total <br />Bid/Proposal <br />13,500.00 1 4.1 % <br />1,800.00 1 0.5% <br />11 /12/24 <br />Date <br />